New clinical pathways for keratoconus

被引:52
作者
Gore, D. M. [1 ]
Shortt, A. J. [1 ]
Allan, B. D. [1 ]
机构
[1] Moorfields Eye Hosp, London EC1V 2PD, England
关键词
review; keratoconus; crosslinking; intracorneal ring; intraocular lens; meta-analysis; COLLAGEN CROSS-LINKING; PHAKIC INTRAOCULAR-LENS; RING SEGMENT IMPLANTATION; DEEP ANTERIOR LAMELLAR; TOPOGRAPHY-GUIDED PRK; ACADEMY-OF-OPHTHALMOLOGY; PENETRATING KERATOPLASTY; FEMTOSECOND LASER; FOLLOW-UP; PROGRESSIVE KERATOCONUS;
D O I
10.1038/eye.2012.257
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Pre-2000, the clinical management of keratoconus centred on rigid contact lens fitting when spectacle corrected acuity was no longer adequate, and transplantation where contact lens wear failed. Over the last decade, outcome data have accumulated for new interventions including corneal collagen crosslinking, intracorneal ring implantation, topographic phototherapeutic keratectomy, and phakic intraocular lens implantation. We review the current evidence base for these interventions and their place in new management pathways for keratoconus under two key headings: corneal shape stabilisation and visual rehabilitation. Eye (2013) 27, 329-339; doi:10.1038/eye.2012.257; published online 21 December 2012
引用
收藏
页码:329 / 339
页数:11
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